CMSThe Centers for Medicare & Medicaid Services (CMS) recently announced that the Open Payments Program (Sunshine Act) review and dispute process will begin April 6 and end May 21, 2015.

Doctor with MoneyNearly 40% of healthcare providers treating Medicare patients will have their reimbursement payments docked 1.5% this year because they didn't submit data on patients’ health to the government, the Centers for Medicare and Medicaid Services reported.

CMSOn April 16th the Centers for Medicare & Medicaid Services (CMS) introduced its first star ratings of consumer satisfaction for hospitals.

15 StatesThe Affordable Care Act gave states federal dollars to raise Medicaid reimbursement rates for primary care services — but only temporarily. The federal dollars ran out on Jan. 1.

Doctor with MoneyWith the 2015 Medicare Physician Fee Schedule(MPFS), CMS began a dialogue about how the growing trend toward hospital acquisition of physician offices and subsequent treatment of those locations as off-campus provider-based outpatient departments was impacting Medicare reimbursement and overall Medicare spending.

MedPACIn the first of two reports for 2015, the Medicare Payment Advisory Commission (MedPAC) issued its report on the state of Medicare reimbursement and enrollment.

CMSEffective March 18, 2015, CMS made changes to their Provider Enrollment policies and incorporated them into Chapter 15 of the Program Integrity Manual.

Change AheadChanges for Beneficiaries

Medicare Advantage

United States CongressIn a vote late Tuesday evening the Senate voted 92-8 to kill the Medicare Sustainable Growth Rate (SGR) formula ending an almost 18 year headache for physicians and Congress. The bill will now go to President Obama. Obama has already expressed his support for the bill and is expected to sign it into law.

surveyWEDI recently updated its survey on ICD-10 preparation on the part of providers, software and service vendors and payors. The results point to some progress has been made especially on the part of payors but that there is still a sluggish response on the part of many vendors and providers perhaps lulled into a potentially false hope of another delay.